Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $211.01 / $211.01 / $211.01	Facility	26	$211.01	$211.01	$211.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $484.91 / $859.27	Professional		$366.00	$484.91	$859.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.05 / $140.00 / $260.74	Professional	26	$93.05	$140.00	$260.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.95 / $348.53 / $598.54	Professional	TC	$272.95	$348.53	$598.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.79 / $263.52 / $740.80	Professional		$235.79	$263.52	$740.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.81 / $76.90 / $155.94	Professional	26	$68.81	$76.90	$155.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $166.98 / $186.62 / $562.44	Professional	TC	$166.98	$186.62	$562.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,602.92 / $1,602.92 / $1,779.39	Professional		$1,602.92	$1,602.92	$1,779.39
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $585.44 / $585.44 / $708.10	Professional	26	$585.44	$585.44	$708.10
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $894.82 / $894.82 / $1,193.95	Professional	TC	$894.82	$894.82	$1,193.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.05 / $502.11 / $658.64	Professional		$436.05	$502.11	$658.64
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $129.69 / $149.34 / $174.49	Professional	26	$129.69	$149.34	$174.49
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $306.36 / $352.77 / $412.19	Professional	TC	$306.36	$352.77	$412.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $146.94 / $426.16	Professional		$32.34	$146.94	$426.16
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $714.15 / $714.15	Facility	26	$714.15	$714.15	$714.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $482.10 / $567.17 / $658.64	Professional		$482.10	$567.17	$658.64
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $140.90 / $165.77 / $201.17	Professional	26	$140.90	$165.77	$201.17
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $341.20 / $401.41 / $457.47	Professional	TC	$341.20	$401.41	$457.47
United Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $455.10 / $912.34	Professional		$268.11	$455.10	$912.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $93.48 / $167.28	Professional	26	$72.04	$93.48	$167.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.64 / $383.06 / $791.33	Professional	TC	$192.64	$383.06	$791.33